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Psychosocial Adaptation and Related Factors in Patients with a Permanent Colostomy

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KMID : 0388320090160040506
Â÷º¸°æ ( Cha Bo-Kyoung ) - ÇѼ­´ëÇб³ °£È£Çаú

¹éÀº¼± ( Baek Eun-Seon ) - °í·Á´ëÇб³ ¾È»êº´¿ø

Abstract

Purpose: This study was conducted to define factors influencing psychosocial adaptation of patients with a permanent colostomy. Independent variables including perceived stress, stoma care self-efficacy, self-care behavior, self-esteem and family support were used to predict psychosocial adaptation.

Method: The data was analyzed using the SPSS pc program window version 12.0 for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Ninety patients with a permanent colostomy were recruited between September 2007 and May 2008. The reliability of the instruments was tested with Cronbach¡¯s alpha which ranged from .78 to .92.

Result: The results were as follows: The mean psychosocial adaptation score was 3.05. There were significant correlations between all the predictive variables and psychosocial adaptation (r= .63¢¦ -.43, p<.001). Stepwise multiple regression analysis showed that self-esteem (40%), stoma care self-efficacy (7%), perceived stress (2%), and self-care behavior (2%) accounted for 51% of the variance in psychosocial adaptation.

Conclusion: These findings indicate that to improve psychosocial adaptation of patients with permanent colostomy, the major related factors identified in this study should be considered.
KeyWords
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Colostomy, Adaptation
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed